Individual
BENJAMIN WALSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
10125 ROAD 22, SIDNEY, NE 69162-3244
(970) 443-4906
Mailing address
10125 ROAD 22, SIDNEY, NE 69162-3244
(970) 443-4906
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
05/03/2024
Last updated
05/03/2024
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